Provider Demographics
NPI:1457388837
Name:JONES, BRUCE ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ERIC
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:514 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3603
Mailing Address - Country:US
Mailing Address - Phone:410-288-2853
Mailing Address - Fax:410-288-2854
Practice Address - Street 1:1005 N POINT BLVD
Practice Address - Street 2:SUITE 707
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3415
Practice Address - Country:US
Practice Address - Phone:410-288-2853
Practice Address - Fax:410-288-2854
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0055168207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G75362Medicare UPIN